Provides relative to Medicaid managed care and health information exchanges. (8/1/14)
Impact
The legislation proposes various measures that aim to facilitate informed clinical decisions and streamline communication between hospitals, managed care plans, and primary care providers. By setting uniform reporting standards and requiring prompt notifications of patient status changes, the bill seeks to ensure efficient patient care transitions and better outcomes for individuals with Medicaid benefits. Additionally, the bill obligates the Department of Health and Hospitals to maximize federal financial assistance for the implementation of these requirements, while also providing a cost-sharing mechanism for managed care plans in case of funding deficits.
Summary
Senate Bill 647, proposed by Senator Heitmeier, aims to enhance the reporting mechanisms within Medicaid managed care plans by mandating the integration of health information exchanges (HIEs) in Louisiana. The bill specifically outlines that hospitals participating in Medicaid must report each enrolled individual's hospital admission, discharge, and transfer data to the relevant HIE for their parish. This integration is designed to improve the continuity and coordination of patient care, ultimately enhancing health care quality while also aiming to reduce overall costs associated with Medicaid services.
Sentiment
General sentiment regarding SB 647 appears supportive among healthcare advocates and professionals who recognize the potential for improved patient coordination and data sharing. The bill is positioned as a positive development for the Louisiana health care system, potentially reducing inefficiencies and enhancing care outcomes. However, there may be concerns related to implementation logistics and the associated costs that could arise for Medicaid managed care plans, especially if federal funding does not meet the anticipated needs.
Contention
One notable point of contention is the obligation placed on Medicaid managed care plans to absorb additional costs if there is insufficient federal support for the health information exchanges. This may lead to financial burdens on these plans, which could in turn affect the services offered to Medicaid beneficiaries. Furthermore, while the intention to enhance continuity of care is widely accepted, stakeholders may debate the effectiveness of such mandates and the administrative complexities they introduce to existing Medicaid operations.
Provides relative to Medicaid and certain managed health care organizations providing health care services to Medicaid beneficiaries. (1/1/14) (RR1 See Note)
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.